Individual provider · NPI-1
Robert David Skala, DO
Family Medicine · Eagle River, AK
NPI number1598825663
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1598825663
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert David Skala
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4995 | AK | Yes |
Practice location
11431 Business BlvdEagle River, AK 99577
Phone 907-696-8783 · Fax 907-696-8738
Mailing address
11048 Kaskanak DriveEagle River, AK 99577
Phone 907-696-8783 · Fax 907-696-8738
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